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Digestive Duplication: A rare cause of abdominal mass in an infant

Pihou Gbande, Lantam Sonhaye, Mazamaesso Tchaou

    La Tunisie Medicale
    |May 13, 2020
    PubMed

    Insights

    Intestinal duplications are rare congenital anomalies. Antenatal ultrasound is key for diagnosing these malformations, often identifying a characteristic double-walled cystic mass.

    Area of Science:

    • Pediatric Surgery
    • Medical Imaging
    • Congenital Malformations

    Background:

    • Intestinal duplications are rare congenital malformations.
    • Ileal duplications are the most common type.
    • Antenatal diagnosis is increasingly feasible due to advanced ultrasound technology.

    Observation:

    • A 15-month-old infant presented with persistent crying, vomiting, and abdominal distension.
    • Abdominal ultrasound revealed an intraperitoneal cyst (30 x 27 mm) with a stratified wall, adjacent to a digestive loop.
    • Surgical exploration confirmed a non-communicating ileal duplication.

    Findings:

    • Intestinal duplication is a rare condition.
    • Ultrasound is effective in diagnosing intestinal duplications.
    • A characteristic finding is a double-walled cystic mass.

    Implications:

    • Early diagnosis of intestinal duplications can be achieved through antenatal ultrasound.
    • Surgical intervention is necessary for confirmed cases.
    • Understanding the imaging characteristics aids in timely diagnosis and management.
    Abstract

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